Organization
ANTIOCH EYE CARE CENTER, PHYSICIAN & SURGEON, PLLC
Active
Organization
ANTIOCH EYE CARE CENTER, PHYSICIAN & SURGEON, PLLC
Active
Other names
Eye Care Center of TN
Organization subpart
No
Provider details
NPI number
Authorized official
BENYAMIN Y EBRAHIM MD (OPHTHALMOLOGIST)
(908) 265-2832
Entity
Organization
Contact information
Practice address
522 BELL RD, ANTIOCH, TN 37013-2002
(615) 361-7266
Mailing address
554 BELL RD, ANTIOCH, TN 37013-2002
(615) 361-7266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
49780
TN
Other
Enumeration date
08/14/2014
Last updated
05/29/2022
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